Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.
J Interv Cardiol. 2010 Feb;23(1):95-9. doi: 10.1111/j.1540-8183.2009.00516.x. Epub 2009 Dec 17.
Transradial access for coronary interventions provides increased patient comfort, fewer access site complications, and reduced hospital stay and costs. However, the potential benefits favoring transradial access may be even more than these apparent advantages. Major bleeding after coronary interventions is an important factor contributing to mortality rates and can be dramatically reduced with the selection of the radial artery as the access site. Recent evidence suggests that the decrease in bleeding complications with transradial access may translate into a short- and long-term decrease in mortality in patients undergoing elective or urgent coronary interventions. In the era of complex coronary interventions with use of multiple antiplatelet and antithrombotic treatment regimens, the simple choice of transradial access for increasing patient comfort and decreasing bleeding complications and mortality is promising.
经桡动脉入路进行冠状动脉介入治疗可提高患者舒适度、减少入路部位并发症、缩短住院时间和降低费用。然而，桡动脉入路可能具有比这些明显优势更有意义的潜在获益。冠状动脉介入治疗后的大出血是导致死亡率的一个重要因素，而选择桡动脉作为入路可显著降低出血并发症的发生风险。最近的证据表明，经桡动脉入路可减少出血并发症，从而降低择期或紧急冠状动脉介入治疗患者的短期和长期死亡率。在应用多种抗血小板和抗凝治疗方案进行复杂冠状动脉介入治疗的时代，为提高患者舒适度、减少出血并发症和死亡率而选择简单的经桡动脉入路是有前途的。
